The Supreme Court’s Birthright Citizenship Decision Could Dramatically Impact Newborns’ Access to Health Care

The Supreme Court heard oral arguments last week in the case of Trump v. Barbara, offering the first insight into how the Court will decide the legality of President Trump’s executive order attempting to end birthright citizenship for the children of undocumented immigrants and immigrants who are in the country legally but temporarily (such as,…

April 10, 2026

By

Kelly Whitener

and

Joan Alker

Blog

Child Uninsurance Rate Hits Highest Level in Almost a Decade. Check What Is Happening in Your State

The latest data from the U.S. Census Bureau’s American Community Survey (ACS) bring troubling news for children’s health coverage. After years of progress, the child uninsured rate rose again in 2024, reaching its highest level since 2014. As Joan Alker explains in her blog, these numbers signal that the progress made over the past years…

October 6, 2025

By

Yuliya Yafimenka

Presentations

Webinar: State-by-State Child Health Coverage Trends

The Georgetown University Center for Children and Families did a rapid analysis of newly released U.S. Census American Community Survey (ACS) data. The webinar took place on Friday, September 12 at 1:00 p.m. ET, featuring a presentation of state-by-state child health coverage trends and other key insights. Joan Alker, Executive Director of the Georgetown University…

September 12, 2025

Blog

Progress for Children is Eroding as Child Uninsured Rate Spikes to Highest Level since 2014

Every year we examine data provided by the U.S. Census Bureau’s American Community Survey (ACS) which provides the most comprehensive look nationally and by state at important trends impacting America’s families – including health insurance. Today we are sharing our analysis of data that came out just yesterday for calendar year 2024. Our analysis is…

September 12, 2025

By

Joan Alker

Research & Reports

U.S. and State-by-State Child Health Coverage Trends

From 2022 to 2024, the rate of uninsured children increased from 5.1% to 6%, which is the highest rate of uninsured children in a decade. This was a statistically significant change and equates to an 18% increase in the number of uninsured children nationwide, marking a dramatic reversal of the progress made on child health…

September 12, 2025

By

Joan Alker

and

Yuliya Yafimenka

Blog

US Uninsured Rate Stays Level in 2024 for Adults and Kids: Storm Clouds Lie Ahead

Today the U.S. Census Bureau released the Current Population Survey (CPS) for 2024 which examines income, health insurance and other trends. Overall, the uninsured rate was unchanged at 8%; the child uninsured rate was 6.1%. – a slight increase that was not statistically significant. Later this week we will get state by state data from…

September 9, 2025

By

Joan Alker

Blog

What to Expect From This Year’s Census Data on Child Health Coverage Rates: Will it be the Big Reveal on the Impact of Medicaid Unwinding?

As we wait for the annual September release of key Census Bureau data on health insurance status, what are we at CCF expecting with respect to children? The data covers 2024, a year in which most states finished the process of Medicaid “unwinding” – a multi-year process during which everyone on Medicaid had their eligibility…

August 29, 2025

By

Joan Alker

Data

Tracking State Readiness to Implement HR 1

This tracker will report on eight state-reported Medicaid and CHIP performance indicators. The analysis of state data is displayed in national maps for the most recent quarter broken into four quartiles with the top quartile reflecting the highest performing states. To smooth out monthly anomalies in state workload and allow for tracking these metrics over time,…

August 28, 2025

Blog

Child Uninsured Rate Increases Slightly: Full Impact of Medicaid Unwinding Not Yet Evident

Check out your state’s numbers on our state data hub. Every year we look closely at the U.S. Census Bureau’s American Community Survey health insurance coverage data to see what is happening to coverage rates overall and especially for children. The data, which are released in early September, reflect survey responses collected in the prior…

October 10, 2024

By

Joan Alker

and

Aubrianna Osorio

Blog

What to expect from Census data this fall on Child/Adult Coverage Levels?

As readers of SayAhhh! know, Georgetown CCF does an annual report on children’s coverage every fall using the most recent data from the Census Bureau’s American Community Survey (ACS), which is typically released in September. This year, the 2023 data will be released on September 12th; the Census Bureau’s Current Population Survey (CPS) Annual Social…

July 29, 2024

By

Joan Alker

and

Aubrianna Osorio

Blog

Research Update: New Data Show 2020 Census Undercounted Young Children in Every State and Most Counties

New data published by the U.S. Census Bureau indicate that young children ages 0-4 were undercounted in the 2020 Census in every state and in more than four out of five counties examined. The Census Bureau previously found that young children were undercounted by 5.4% nationwide — a larger undercount than for any other age…

May 15, 2024

By

Aubrianna Osorio

Research & Reports

Child Medicaid Disenrollment Data Shows Wide Variation in State Performance as Continuous Coverage Pandemic Protections Lifted

Download the Full Report (PDF) Background During the COVID-19 public health emergency, states received increased federal Medicaid matching rates in exchange for a commitment to maintain continuous coverage for those enrolled in Medicaid. With the public health emergency winding down, as part of the Consolidated Appropriations Act (CAA), 2023, Congress ended the continuous coverage requirement…

May 2, 2024

By

,

,

and

Blog

Report Finds Child Uninsured Rate Improved in 2022, Warns Progress Under Threat as Eligible Children Lose Coverage During Medicaid Unwinding

This week we were joined by Stacey Pogue, a senior policy analyst with Every Texan and Dr. Valerie Borum Smith, a pediatrician and President-Elect of the Texas Society of Pediatricians to release our annual report on child health coverage trends. Our report showed the number of uninsured children declined in 2022 to one of the…

November 17, 2023

By

Joan Alker

and

Aubrianna Osorio

Research & Reports

Medicaid’s Pandemic-Era Continuous Coverage Protections Helped Reduce Number of Uninsured Children

Download Report PDF Introduction Data from the U.S. Census Bureau’s American Community Survey (ACS) for 2022 finds that the number of uninsured children continued to decline over the pandemic period – most likely as a consequence of the continuous coverage protection in Medicaid put in place by one of the first COVID-19 rescue packages, the…

November 15, 2023

By

Joan Alker

and

Aubrianna Osorio

Blog

Children’s Marketplace Enrollment Increases Again, but Most Children Will Still be Eligible for Medicaid After Unwinding

When it comes to recent trends in children’s coverage, much attention has rightly focused on the significant child enrollment increases in Medicaid over the past few years due in large part to the Medicaid continuous coverage requirement. Although the Marketplaces cover far fewer children by comparison, child enrollment in Marketplace plans has increased substantially for…

April 19, 2023

By

Aubrianna Osorio

Blog

Research Update: Are We Underestimating the Number of Children?

Two recent data analyses highlight a question researchers have been asking for years: why is it so hard to get an accurate count of the number of children and is the undercount getting larger? First, a new report from Count All Kids looks at how well—or rather, poorly—children were counted in the 2020 decennial Census,…

March 28, 2023

By

Aubrianna Osorio

Research & Reports

Number of Uninsured Children Stabilized and Improved Slightly During the Pandemic

Data released by the U.S. Census Bureau’s American Community Survey (ACS) for 2021 finds that nationally the estimated number and rate of uninsured children went down slightly from 2019 to 2021. This data provides the first comprehensive look at what happened to children with respect to this metric during the first part of the COViD-19…

December 7, 2022

By

Joan Alker

,

Aubrianna Osorio

and

Edwin Park

Research & Reports

Number of Uninsured Children Stabilized and Improved Slightly During the Pandemic

Data released by the U.S. Census Bureau’s American Community Survey (ACS) for 2021 finds that nationally the estimated number and rate of uninsured children went down slightly from 2019 to 2021. This data provides the first comprehensive look at what happened to children with respect to this metric during the first part of the COVID-19…

November 29, 2022

By

Joan Alker

,

Aubrianna Osorio

and

Edwin Park

Research & Reports

Gaps in Coverage: A Look at Child Health Insurance Trends

The number of uninsured children was on a downward trajectory for many years, but in 2017 started going back up, rising a full percentage point between 2016 and 2019 (see Figure 1). This issue brief examines the incidence and characteristics of children who experienced a period of uninsurance over the course of a recent year…

November 22, 2021

By

Aubrianna Osorio

and

Joan Alker

Blog

Why is Medicaid/CHIP Continuous Eligibility So Important for Kids?

As readers of SayAhhh! know, the number of uninsured kids was going down for many years, but during the Trump administration starting going back up – rising to 5.7 percent child uninsured rate in 2019. While children are insured at higher rates than non-elderly adults, they still lag considerably behind seniors – who with Medicare…

October 8, 2021

By

Joan Alker

and

Aubrianna Osorio

Search

Filter By

Date

Results